Document Detail


Variant iliocaval confluence discovered during sacrocolpopexy.
MedLine Citation:
PMID:  21252780     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Laceration of the iliac veins and their branches is a feared complication in abdominal sacral colpopexy. Hemorrhages can be extensive and difficult to control.
CASE: : We report a case of a patient who, while undergoing abdominal sacral colpopexy, was found to have confluence of the iliac veins at the level of the second sacral vertebra instead of the expected fourth lumbar to first sacral vertebral bodies. The intraoperative course had to be revised because of the increased risk of bleeding. The patient tolerated the procedure well and without any complications.
CONCLUSION: : With pelvic reconstructive surgery becoming more commonplace, knowledge of possible anomalous vessels is important because modification of planned surgical approach may be necessary to avoid short-term and long-term complications.
Authors:
George Lazarou; Salma Rahimi; Nuan Cui; Maria Zormpa
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  117     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  436-7     Citation Subset:  AIM; IM    
Affiliation:
From the Department of Obstetrics and Gynecology and Department of Urogynecology & Reconstructive Pelvic Surgery, Winthrop University Hospital, Mineola, New York; Department of Obstetrics, Gynecology & Women's Health, Stony Brook University Hospital, Mineola, New York.
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